Jim Case

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Jim Case

No conflicts noted

Paul Amos

Jeremy Rogers

Inactivation of Ambiguous Concepts - examples and updated proposal

Document attached to the agenda Meeting Files above.

Discussion:

Decision:

• EAG members to review document related to AMBIGUOUS issues 
• Paul Amosto present summary document at the EAG meeting 20210630

Inquiries from Germany outlined inconsistencies in terming in the Specimen hierarchy.  A background document with proposed changes is available for review and comment by the EAG prior to broader circulation: 

Specimen term change proposal

Discussion:

Group generally felt that historically and clinically, specimen and sample were used interchangeably.  There was unanimous agreement on the changing of FSNs and PTs to use the term "specimen". James R. Campbellobjected to the universal addition of "sample" descriptions to terms that already had "Specimen" in their FSNs

Update 6/14/2021:

From UNMC via Jim Campbell: "I asked Scott to poll our anatomic pathologists (and also lab pathologists) whether Specimen and Sample can be considered synonyms. The answer was clearly NO. Anatomic pathology is arguably the clearest example where the surgical Tissue Specimen is examined visually by the pathologist who then dissects the tissue into component Samples representing important aspects of the case Specimen. The samples are processed in Blocks for histologic examination and results are reported with reference to the Sample Block. In this way examination of Margins, lymphatic invasion, regional invasion and spread of the malignancy can be assessed and reported. "

Note: Additional clarification on the James R. Campbell proposed solution was sought. 

From the LIVD Community via John Snyder: "I brought this up to the LIVD team for discussion as it includes members from LOINC, APHL, Abbott laboratories, and FDA. In general, everyone agreed that the two terms are used synonymously across the implementation level and are in favor of the work listed under Next Steps section being completed. While they did recognize that there were some edge cases where differentiation between the two may be useful, at this time the group did not think the edge cases were significant enough to out-weigh the general benefit."

Decision: 

EAG consensus was that changes to FSNs may be made without inactivation and replacement of concepts.

• Jim Case to revise proposal as needed.

Pressure injury

• Jim Caseto schedule next meeting for June 30, 2021